MEDICARE: MR. PETER M FREEDMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207K00000X	Allergy & Immunology Physician	AZ15868	AZ

General Provider Information

NPI Number	:	1518963115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PETER M FREEDMAN MD

Provider Business Mailing Address
First Line	:	PO BOX 3316
Second Line	:
City	:	CAREFREE
State	:	AZ
Zip	:	85377-3316
Country	:	US
Telephone Number	:	602-625-7402
Fax Number	:	480-595-2329

Provider Business Practice Location Address
First Line	:	11361 N 99TH AVE
Second Line	:	STE 201
City	:	PEORIA
State	:	AZ
Zip	:	85345-5487
Country	:	US
Telephone Number	:	623-974-4800
Fax Number	:	623-974-0018

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	07/08/2007

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